Meatal Stenosis
Conditions
Brief summary
The goal of this observational study is to learn about the efficacy of topical steroid treatment for meatal stenosis. The main question it aims to answer is: Is steroid therapy effective for treatment of meatal stenosis? Participants already treated for meatal stenosis will be included.
Interventions
DRUGBetamethasone Cream
Betamethasone 0.1% cream was administered to the external meatus twice per day for a duration of 21 days.
PROCEDUREmeatotomy
In the event of steroid therapy failure, a meatotomy was performed under general anesthesia. The procedure involved squashing the ventral aspect of the pinpoint meatus for approximately 3-5 millimeters for 10 seconds and then incising it. The mucosal margins were sutured with absorbable sutures to avoid renarrowing. Urethral catheterization was not employed, and the procedure was performed on an outpatient basis. Patients were discharged following urination.
Sponsors
Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
MALE
Age
No minimum to 16 Years
Healthy volunteers
No
Inclusion criteria
* Presence of meatal stenosis
Exclusion criteria
* Presence of any anatomical problem or history of surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The number of patients who showed significant clinical improvement over the course of the study | 2 months | The resolution of symptoms such as straining, hesitancy, interrupted voiding, thin urine stream, and storage symptoms (e.g., urgency, frequency, urge incontinence) along with improved urination were considered indicators of treatment success. All patients underwent assessment through physical examination and observation of the urinary stream during micturition. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The number of participants who exhibited treatment-related improvements in voiding curve pattern and maximal urine flow rate, as assessed by uroflowmetry, which measures the free flow of urine during micturition | 2 months | Uroflowmetry is a diagnostic test that evaluates the flow of urine during micturition (urination), providing valuable insights into bladder function and obstruction. The voiding curve pattern refers to the shape and flow characteristics of the urine stream during urination. A normal voiding pattern typically presents a bell shape, reflecting a steady and consistent flow of urine without interruptions. However, in certain conditions, such as urinary tract obstruction or bladder dysfunction, the voiding curve may become irregular, showing reduced flow or intermittent pauses. A plateau-shaped voiding curve is typically observed in conditions like meatal stenosis. Improvement in the voiding curve pattern following treatment indicates that urine flow has become more consistent and efficient. Maximal urine flow rate (Qmax) is the highest rate at which urine is expelled during micturition. This measurement is important for assessing bladder function and identifying potential urinary flow iss |
Countries
Turkey (Türkiye)
Outcome results
None listed